Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $2,840.00 / $7,542.00	Facility		$803.00	$2,840.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.17 / $532.17 / $3,837.00	Professional		$532.17	$532.17	$3,837.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.20 / $815.11 / $1,853.88	Facility		$467.20	$815.11	$1,853.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $532.17 / $532.17 / $532.17	Facility		$532.17	$532.17	$532.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $532.17 / $532.17 / $532.17	Facility		$532.17	$532.17	$532.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,250,000.00 / $2,250,000.00	Professional		$2,250,000.00	$2,250,000.00	$2,250,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,405.00	Facility		$161.00	$952.00	$2,405.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $21.60	Professional		$16.00	$16.00	$21.60